BUSINESS EVENING NETWORK MEMBERSHIP APPLICATION  

Applicant’s Name: …………………………………………………………………………………………………

Name of Business: ………………………………………………………………………………………………..

Business Address: …………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………

Business Phone: ……………………………………………………………………………………………………

Business Fax: ……………………………………………………………………………………………………….

Home Phone: ……………………………………………………………………………………………………….

Mobile: ………………………………………………………………………………………………………………..

Business Email Address: ………………………………………………………………………………………..

Website Address:.………………………………………………………………………………………………….

Sponsors Name: ……………………………………………………………………………………………………

Source of Enquiry:  Referral: …………..  Internet: ………… Other: ……………………………….

 

I/We agree that we have received the Business Evening Network terms and conditions

of membership before signing this agreement.

In consideration of which I / we have today paid the sum of £…………for membership of Business Evening Network for 12 months from the date of signing. [£450 annual]

I/ We understand that our membership of the Business Evening Network will enable our business to promote products and services from within our profession and that the Business Evening Network will not allow another business within the same profession to join the Network.

 

 

Dated this…………………………………………day of……………………………………………..2009

Signature of Customer / Business Name: …………………………………………………………

Signature for Business Evening Network: …………………………………………………………

Cheque / cash received for membership of Business Evening Network…£………